Active NPI
Lindsay Kay Grubish, D.O.
- Emergency Medicine Physician
- Tacoma, WA
National Provider Identifier
1366797441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 6076370
- Practice address
- 9040 Jackson Ave
Tacoma, WA 98431-8557 - Phone
- (253) 968-1110
- NPI assigned
- Jul 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 6076370 | WA | Primary |
Addresses
Primary practice location
9040 Jackson Ave
Tacoma, WA 98431-8557
Mailing address
11114 66TH Avenue CT NW
Gig Harbor, WA 98332-8557
Phone (817) 845-5326
Other practice location 1
11114 66th Avenue Ct NW
Gig Harbor, WA 98332-8557
Phone (817) 845-5326
Other practice location 2
413 Lilly Rd NE
Olympia, WA 98506-5133
Phone (360) 491-9480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6076370 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sussex Emergency Associates LLC | Emergency Medicine | Current | Accepting new patients |
Locations
424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078
Interoperability endpoints
- lgrubish20942@beebehealth.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Lewes, DE
- NPI 1275512105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521763200000",
"number": "1366797441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11114 66TH AVENUE CT NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983328557",
"telephone_number": "817-845-5326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984318557",
"telephone_number": "253-968-1110"
}
],
"practiceLocations": [
{
"address_1": "11114 66th Avenue Ct NW",
"address_purpose": "LOCATION",
"city": "Gig Harbor",
"state": "WA",
"postal_code": "983328557",
"country_code": "US",
"telephone_number": "817-845-5326",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "413 Lilly Rd NE",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "985065133",
"country_code": "US",
"telephone_number": "360-491-9480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRUBISH",
"first_name": "LINDSAY",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-16",
"last_updated": "2018-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "6076370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.